A Review of the Literature on LGBTQ Adults Who Experience Homelessness

Ecker, John; Aubry, Tim; Sylvestre, John

doi:10.1080/00918369.2017.1413277

Cited by 102 publications

(55 citation statements)

References 52 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In addition, our keywords did not specifically target articles reporting on lesbian, gay, bisexual, transgender and queer adults who experience homelessness, even though using the term homelessness in the searches may have been sufficient. However, the literature suggests that transgender and gender non‐conforming adults who experience homelessness encounter several unique challenges in the health‐ and social care system, particularly with regard to safety and gender‐affirming support (Ecker, Aubry, & Sylvestre, ).…”

Section: Discussionmentioning

confidence: 99%

Homeless persons' experiences of health‐ and social care: A systematic integrative review

Omérov

Craftman

Mattsson

et al. 2019

Health Soc Care Community

168

135

View full text Add to dashboard Cite

Homelessness is associated with high risks of morbidity and premature death. Many interventions aimed to improve physical and mental health exist, but do not reach the population of persons experiencing homelessness. Despite the widely reported unmet healthcare needs, more information about the barriers and facilitators that affect access to care for persons experiencing homelessness is needed. A systematic integrative review was performed to explore experiences and needs of health‐ and social care for persons experiencing homelessness. The following databases were searched: AMED, ASSIA, Academic Search Complete, CINAHL, Cochrane library, Nursing and Allied Database, PsycInfo, PubMed, Scopus and Web of Science Core Collection. Twenty‐two studies met the inclusion criteria of empirical studies with adult persons experiencing homelessness, English language, and published 2008‐2018. Fifty percent of the studies were of qualitative and quantitative design, respectively. Most studies (73%) were conducted in the United States (n=11) and Canada (n=5). The analysis resulted in three themes Unmet basic human needs, Interpersonal dimensions of access to care, and Structural and organizational aspects to meet needs. The findings highlight that persons in homelessness often must prioritize provision for basic human needs, such as finding shelter and food, over getting health‐ and social care. Bureaucracy and rigid opening hours, as well as discrimination and stigma, hinder these persons’ access to health‐ and social care.

show abstract

Section: Discussionmentioning

confidence: 99%

Homeless persons' experiences of health‐ and social care: A systematic integrative review

Omérov

Craftman

Mattsson

et al. 2019

Health Soc Care Community

168

135

View full text Add to dashboard Cite

show abstract

“…Indeed, emerging reports have documented the unique concerns and challenges experienced by gay men and other MSM during the COVID-19 pandemic, including mental health impacts resulting from anti-gay community backlash, arrests under false pretexts, and loss of privacy during contact tracing and monitoring for COVID-19 [10,11]. Furthermore, many gay men and other MSM may be in industries that are more prone to COVID-19 disruptions, or at increased risk for unemployment, unstable housing, and food insecurity, making them more vulnerable to COVID-19′s economic and health impacts compared to the general population [12][13][14][15][16][17]. Moreover, gay men and other MSM also have disproportionately higher unemployment rates relative to the general population [14,18].…”

Section: Introductionmentioning

confidence: 99%

Economic, Mental Health, HIV Prevention and HIV Treatment Impacts of COVID-19 and the COVID-19 Response on a Global Sample of Cisgender Gay Men and Other Men Who Have Sex with Men

et al. 2020

View full text Add to dashboard Cite

There is an urgent need to measure the impacts of COVID-19 among gay men and other men who have sex with men (MSM). We conducted a cross-sectional survey with a global sample of gay men and other MSM (n = 2732) from April 16, 2020 to May 4, 2020, through a social networking app. We characterized the economic, mental health, HIV prevention and HIV treatment impacts of COVID-19 and the COVID-19 response, and examined whether subgroups of our study population are disproportionately impacted by COVID-19. Many gay men and other MSM not only reported economic and mental health consequences, but also interruptions to HIV prevention and testing, and HIV care and treatment services. These consequences were significantly greater among people living with HIV, racial/ethnic minorities, immigrants, sex workers, and socioeconomically disadvantaged groups. These findings highlight the urgent need to mitigate the negative impacts of COVID-19 among gay men and other MSM. Keywords COVID-19 • Economic impact • Mental health • HIV • AIDS • Gay • Men who have sex with men Resumen Existe una necesidad urgente para medir los impactos de COVID-19 entre hombres gay y otros hombres que tienen sexo con hombres (HSH). Hemos conducido una encuesta multifuncional con una prueba mundial de hombres gay y otros HSH (n = 2732) desde el 16 de Abril hasta el 4 de Mayo del 2020, a través de una aplicación de red social. Nosotros caracterizamos los impactos económicos, de salud mental, prevención del VIH y tratamiento del VIH e impactos a COVID-19 y la respuesta de COVID-19, y examinamos si subgrupos de nuestra población de estudio fueron impactados desproporcionadamente por COVID-19. Muchos hombres no tan solo reportaron consecuencias económicas y de salud mental, sino también interrupciones de prevención y de pruebas de VIH, y cuidado del VIH y servicios de tratamiento. Encontramos consecuencias más significantes entre personas viviendo con VIH, grupos raciales/etnicos, migrantes, sexo servidores, y groupos socioeconomicamente disfavorecidos. Los resultados subrayan la necesidad crucial de mitigar los impactos multifacéticos de COVID-19 entre los hombres homosexuales y otros HSH, especialmente para aquellos con vulnerabilidades entrelazadas.

show abstract

“…As a result, we were unable to comment on the ways in which the health of participants may have factored into their occupational experiences. Similarly, the lack of reporting on sexual orientation by the authors of included studies limits our ability to transfer our findings to LGBTQ2 persons, a group that is overrepresented among the homeless [54]. We implore researchers to consider including these variables in future empirical research.…”

Section: Limitationsmentioning

confidence: 92%

Occupational experiences of homelessness: A systematic review and meta-aggregation

Marshall

Boland

Westover

et al. 2019

Scandinavian Journal of Occupational Therapy

View full text Add to dashboard Cite

Background: Studies exploring the occupational experiences of homeless persons have grown in the past twenty years, and there is a need to identify, evaluate, and aggregate existing studies to direct future research. Objectives: To capture the scope and quality of literature exploring the occupational experiences of homeless persons in high-income countries, and to aggregate the findings of these studies to inform future research efforts. Method: Using Joanna Briggs Institute (JBI) guidelines, we conducted a systematic review including a critical appraisal, and meta-aggregation of themes in existing qualitative literature. Results: Fifteen studies were included and were of high quality (Mdn ¼ 8/10; IQR ¼ 2). Metaaggregation resulted in four themes (n ¼ 335 participants) describing the occupational experiences of homeless persons: 1) Restrictions on time use and activity engagement; 2) Activity as a means of belonging; 3) Institutional processes as determining time use; and 4) Transcending the self through doing. Conclusions: Homeless persons in high-income countries face multiple challenges to engaging in meaningful activity, which we argue is a disabling experience. Simultaneously, homeless persons demonstrate resilience by finding ways to engage in activities of meaning, and opportunities to connect with others in the face of multiple barriers.

show abstract

A Review of the Literature on LGBTQ Adults Who Experience Homelessness

Cited by 102 publications

References 52 publications

Homeless persons' experiences of health‐ and social care: A systematic integrative review

Homeless persons' experiences of health‐ and social care: A systematic integrative review

Economic, Mental Health, HIV Prevention and HIV Treatment Impacts of COVID-19 and the COVID-19 Response on a Global Sample of Cisgender Gay Men and Other Men Who Have Sex with Men

Occupational experiences of homelessness: A systematic review and meta-aggregation

Contact Info

Product

Resources

About